Organization
OMNI FAMILY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCISCO L CASTILLON (CHIEF EXECUTIVE OFFICER)
(661) 630-7050
Entity
Organization
Contact information
Practice address
4646 N. 1ST STREET, FRESNO, CA 93726-0973
(559) 558-9895
(559) 558-9897
Mailing address
4900 CALIFORNIA AVE., SUITE 400B, BAKERSFIELD, CA 93309-7081
(661) 459-1900
(661) 746-9197
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
W33511
—
CA
Enumeration date
09/11/2020
Last updated
06/26/2025
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